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Perceived reciprocity in social exchange and health

functioning in early old age: prospective findings from

the GAZEL study.

Morten Wahrendorf, Celine Ribet, Marie Zins, Marcel Goldberg, Johannes

Siegrist

To cite this version:

Morten Wahrendorf, Celine Ribet, Marie Zins, Marcel Goldberg, Johannes Siegrist. Perceived

reci-procity in social exchange and health functioning in early old age: prospective findings from the

GAZEL study.: social exchange and health functioning. Aging & Mental Health, 2010, 14 (4),

pp.425-32. �10.1080/13607860903483102�. �inserm-00488848�

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Perceived reciprocity in social exchange and health functioning in early

old age: prospective findings from the GAZEL study

Morten Wahrendorf 1 * , Celine Ribet 2 , Marie Zins 2 , Marcel Goldberg 3 , Johannes Siegrist 1

Department of Medical Sociology

1 University of Duesseldorf , DE Equipe RPPC

2 CETAF , H pital Paul Brousse Bat 15/16 16 av Paul Vaillant Couturier 94807 Villejuif,FRô Sant publique et pid miologie des d terminants professionnels et sociaux de la sant

3 é é é é éINSERM : U687 , IFR69 , Universit Paris Sud -é

Paris XI , Universit de Versailles-Saint Quentin en Yvelines é , H pital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF,FRô

* Correspondence should be adressed to: Morten Wahrendorf <wahrendorf@uni-duesseldorf.de >

Abstract

Objectives

To assess prospectively the effects of perceived non-reciprocity of exchange in three different types of social engagement on health functioning in early old age.

Methods

In the frame of the prospective French Gazel cohort study, data on reciprocity in three types of role-related social engagement (principal regular activity in everyday life, marital role relationship, trusting relationships in civic life) were collected in 8679 men and 2742 women (mean age: 60.4 years) in 2005. Two years later, health functioning was assessed, using the SF-36 mental and physical component scores, as well as self perceived health. Multivariate regressions were calculated, controlling for important confounders including baseline self-perceived health.

Results

Consistent effects of perceived non-reciprocity in all three types of social exchange on mental and physical health functioning were observed. After adjustment for relevant confounders including baseline self-perceived, health effect were attenuated, but largely remained significant.

Conclusions

Findings underline the importance of the quality of social exchange (reciprocity vs. non-reciprocity) for health functioning in early old age.

MESH Keywords Aged ; Aging ; psychology ; Cohort Studies ; Female ; France ; Humans ; Interpersonal Relations ; Male ; Middle Aged ; Prospective Studies ; Questionnaires ; Regression Analysis ; Social Behavior

Author Keywords SF-36 ; self-perceived health ; prospective cohort study ; social reciprocity ; social roles

Introduction

Healthy aging has repeatedly been associated with people s engagement in some type of regular social activity where skills and’

capabilities are used and where interpersonal exchange is experienced (Bath & Deeg, 2005 Mendes de Leon, 2005 ; ). Studies so far mainly focused on the relevance of frequency and type of social engagement for healthy aging. For instance, a curvilinear relationship between frequency of volunteering and health was documented, with poorer health among those who engage very rarely and those who engage very often (Musick, Herzog, & House, 1999 Van Willigen, 2000 ; ; Luoh & Herzog, 2002). Additional studies showed that type of activity matters, where volunteering is more often related to health improvements among older people than caring for a sick or disabled person (Everard, Lach, Fisher, & Baum, 2000 Wahrendorf, Knesebeck, & Siegrist, 2006 , ). In this latter case, demands may overtax people s resources in the long run, thus eliciting chronic stress and exhaustion (’ Yee & Schulz, 2000 Lee, Colditz, Berkman, & Kawachi,;

). 2003

The quality of interpersonal exchange experienced during social engagement has received less attention although the socio-emotional ‘

gains (e.g. perceiving recognition, experiencing esteem and gratitude) and costs (experiencing conflicts or aversive reactions from other’ ‘ ’

persons) may influence health and well-being quite substantially. The socio-emotional dimension of interpersonal exchange lies at the core of a theoretical model of social stress and health, effort-reward imbalance (Siegrist 1996 Siegrist, Knesebeck, & Pollack 2004 , ).

This model is based on the norm of reciprocity in contractual social exchange. According to this norm, any action or service provided by person A to person B that has some utility to B is expected to be returned by person B to person A where the exchange expectancy

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concerns some agreed-upon standard of equivalence (Gouldner, 1960 ). If this norm is violated because a service in return is denied or fails to meet an agreed-upon level of equivalence the social relationship is threatened, or in case of its continuation, strong negative emotions of anger and frustration are elicited among those concerned, resulting in a sense of being treated unfairly and in an unjust way. When experienced recurrently, injustice of exchange in important social role relations may result in adverse health effects due to chronic stress reactions.

High effort in combination with low reward at work was shown to adversely affect health (Tsutsumi & Kawakami, 2004; Siegrist 2005 ). In this contractual relationship between employers and employees, three types of reward are distinguished: money, promotion prospects and job security, and esteem. Further applications of this concept of non-reciprocity in social exchange concern close social relationships and different types of social engagement in past employment (Chandola, Marmot, & Siegrist, 2007 Knesebeck & Siegrist, 2003 ; ; ). In either case, failed reciprocity was associated with reduced health, at least in several cross-sectional Wahrendorf et al. 2006

investigations.

In this study we set out to test the association of experienced or failed reciprocity of exchange in three different types of social engagement with health functioning in a prospective study. The three types are, first, the principal regular activity in everyday life in early old age (the more formalised social roles of paid or unpaid work), second, the more intimate marital role relationship, and third, a less formalized type of exchange, trusting relationships in civic life. Although these three types of social engagement vary with respect to the degree of formalization the amount of expected demands and the nature of rewards returned, they nevertheless share a common basic trait, the norm of social reciprocity. Analysing associations of failed reciprocity with health functioning prospectively is important because the effect of quality of exchange on health functioning can not be tested in cross-sectional designs, due to the risks of common methods variance and reverse causation. More specifically, we test the hypothesis that reported non-reciprocity of exchange in three main types of social engagement in early old age increases the risk of poor health functioning later on, and thus, may reduce the probability of healthy aging.

Methods

Study population

Data were obtained from the GAZEL cohort study (Goldberg et al., 2007 ) initiated in 1989 among employees of the French National Electricity and Gas Company (EDF-GDF). At study onset the sample included 20,625 participants, comprising 15,011 men and 5,614 women. Since then, a self-administered questionnaire has been sent yearly to the participants. A majority of the participants of the survey conducted in 2005 were retired (90 of men and 63 of women). The 2005 wave included information on our main exposure variable:% %

reciprocity in different types of social engagement (see below). The response rate in 2005 was 75 per cent. Data on health dimensions studied were obtained from the 2007 survey (same response rate). In this analysis the sample is restricted to respondents that participated in 2005 and 2007 with complete socio-demographic information, leaving a sample of 11421 men and women. Although the GAZEL cohort represents a specific employment sector the study population was recruited from urban and rural areas throughout France, representing a wide range of occupations and a socioeconomic structure that is well-comparable to the French population, e.g. in terms of educational attainment (for a detailed cohort profile see: Goldberg et al. 2007 ).

Measures

Perceived reciprocity in social exchange

The quality of interpersonal exchange in terms of reported reciprocity/non-reciprocity was assessed in three different types of social engagement, using standardised questionnaire items. The first type concerns respondent s main current activity. Participants who were still’

employed referred to their work, whereas non-employed and retired participants were free to refer to any other type of main activity, such as volunteering or homework (1 item). The second type of engagement concerns the partnership relation, usually marital relationships, and in particular the balance between give and take in everyday life (2 items). Third, less specified engagements in civic life were addressed where trust matters (2 items) (see appendix ). The four items measuring exchange in marital life and trusting relationships were tested in three previous studies and derived on the basis of factor loadings in the respective analyses (Chandola et al., 2007 Knesebeck et al., 2003 ; , Knesebeck et al. 2009 ). For example, the factor loadings for the two items measuring exchange in marital life were 0.86 and 0.72 in the British Whitehall II Study (Chandola et al., 2007 ), and 0.86 and 0.77 in a comparative study among older people in Germany and the United States (Knesebeck & Siegrist, 2003 ). Similarly, the factor loadings for the 2 items measuring unspecified trusting relationship ranged from 0.76 to 0.90 in these analyses (Chandola et al., 2007 Knesebeck et al., 2003 ; ). Moreover, using the four items, the factorial structure was replicated in our sample, with factor loadings ranging from 0.76 to 0.91. The one item assessing the main activity was adapted from the Survey of Health, Aging and Retirement in Europe (SHARE) (Wahrendorf et al., 2006 ). In all cases where the item content mattered for respondents, items were answered as follows: strongly agree, agree, disagree, strongly disagree. Answers were summed up for each type of social exchange. Participants scoring in the upper tertile of each of the three measures were defined as experiencing non-reciprocity of exchange in the respective social engagement.

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social exchange and health functioning

Health functioning

In addition to self rated health, we used two measures of health functioning based on the French standard version of the Short Form 36 Health Survey (SF-36), the mental and physical composite scores (Le Pl ge, Ecosse, Pouchot, Coste, & Perneger, 2001 è ). Self rated health was assessed by the following question: How do you rate your general health status? Response categories ranged from very good (coded“ ” ‘ ’

1) to very poor (coded 8). This item was previously shown to be strongly associated with physical disease in the GAZEL cohort (‘ ’ P. ). For our analyses, participants with answers ranging from 5 to 8 were Goldberg, Gueguen, Schmaus, Nakache, & M. Goldberg, 2001

classified to exhibit poor health (Goldberg, et al. 2001 ). The SF-36 questionnaire is an internationally validated measure of health functioning that is based on 36 questions assessing specific domains of physical and mental health (Ware & Sherbourne, 1992 ). The domains are physical functioning, social functioning, role limitations due to physical problems, role limitations due to emotional problems, mental health, vitality, bodily pain and general health perception. The internal consistency of the single domains proved satisfactory in our sample (respective Cronbachs alpha vary between 0.73 and 0.94) and two composite scores are derived, a mental composite score (SF-36 MCS) and a physical composite score (SF-36 PCS), both ranging from 0 100 with higher scores indicating better health. The–

psychometric properties of the French SF-36 and the construction of the two scores are fully described elsewhere (Pl ge et al. 2001 è ). In order to include maximum information on health functioning in the analyses, continuous data of the two scores were used.

Additional Measures

We included a number of additional socio-demographic measures that mainly served as confounders in multivariate models: age, gender, three indicators of socioeconomic position (educational level, income and occupational category). Educational level was assessed by the highest educational degree categorized into four groups (University, Vocational training, Upper secondary education, Lower Secondary education). Income information was based on the total monthly household income using six income classes (adjusted for household size). Occupational category was coded in four categories (senior executive and professional, middle executive, employee, and worker) according to INSEE (French national institute of economic and statistical information) (Desrosi res & Th venot, 2002 è é ).

Statistical Analysis

First, descriptive analyses were used to explore sample characteristics (Table 1 ), as well as bivariate inter-correlations of the main variables were studied (Table 2 ). Next, to test our main hypothesis, linear and logistic regression models were calculated to predict the two composite scores, as well as poor self-perceived health status (Table 3 ). For each of the three outcome measures, two consecutive models were estimated. In addition to the main predicting variable of non-reciprocity in social exchange, model 1 included age, gender and three different indicators of socio-economic position (included as categorical variable broken down in dummy variables). In model 2, we added self-rated health at baseline, in order to adjust for its effect on prospective health functioning. The decision to enter all three indicators of socioeconomic position simultaneously is based on evidence that they cannot be used interchangeably in social epidemiological studies (Geyer, Hemstr m, Peter & Vager , 2006 ö ö ). All multivariate models were calculated for the total sample and separately for women and men.

Results

Descriptive findings

79.2 per cent of the participants were men (Table 1 ). The age range was 52 to 66 years with a mean age of 60.17 years. According to our definition, 33.2 per cent, 18.9 per cent and 24.8 per cent of men and women were considered experiencing lack of reciprocity in their principal activity, or with their partner, or in general trust relationship. The number of respondents was relatively small in case of general trust relationship, indicating that in many cases the respondents did not at all experience such a failed trusting relationship. With respect to socioeconomic position a majority of men and women had a vocational training diploma (50.2 per cent) and were either senior executives or middle executives. 5.3 per cent were in the lowest and 15.6 per cent in the highest income category.

displays all the correlation coefficients between the main variables. We observe that the three dimensions of non-reciprocity Table 2

are significantly correlated, with strongest associations between main activity and trusting relationships. In addition, findings indicate that a lack of reciprocity is more prevalent among women and among people with low socioeconomic position. According to our main hypothesis, all types of non-reciprocity are associated with health functioning and self-rated health (strongest associations for SF-36 MCS). However, in view of the large sample size, the statistical significance must be interpreted with some caution. Next, we calculated multivariate regressions models and adjusted for important confounders (table 3 ). Specifically, the influence of self-perceived health at baseline and of socio-economic position was considered.

Multivariate findings

To test the main hypothesis, multivariate models with the three prospective health outcomes were estimated (see table 3 ). In Model 1 each type of non-reciprocity in social exchange was significantly associated with all prospective health measures (controlling for gender, age and socio-economic position). Compared with people who were satisfied with their social exchange (reciprocity), those experiencing

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an imbalance between give and take were found to have lower scores on both composite scores of health functioning. Moreover, they were more likely to report poor self-rated health. For mental health (MCS), the association was somewhat stronger for partnership than for the remaining two categories, but this was not the case for physical health (PCS) and self-rated health. With regard to the gender specific analyses, no systematic differences were found between men and women. Thus non-reciprocity exerts similar effects for men and women in this dataset. Importantly, after further adjustment for baseline self-rated health (model 2) all associations were attenuated, but in a majority of cases remained statistically significant.

In addition to the gender-specific findings displayed in table 3 , we tested whether interaction effects between non-reciprocity and the three indicators of socio-economic positions were significant, but found no evidence for effect modification of non-reciprocity by socio-economic position.

Discussion

This paper uses data from the Gazel cohort to test associations between perceived non-reciprocity in three different types of role-related social exchange and health functioning in early old age. The main finding demonstrates consistent effects of these types of exchange on mental and physical health functioning. In addition, effects on self-reported health are observed. Effects on mental health are relatively stronger, but their magnitude does not vary according to type of exchange. Findings remain significant after adjustment for age, gender, socio-economic position and baseline self-rated health, although the latter variable attenuates the size of effects.

These results support the notions of active and productive ageing, but add a new element by highlighting the importance of the quality of exchange, and specifically to the experience of reciprocity in terms of recognition, reward or symmetry of give and take. To our knowledge, this is the first study documenting the predictive role of perceived non-reciprocity for reduced health functioning in early old age across three different types of role-related social exchange. Results support the general significance of the norm of social reciprocity for cooperative exchange in main social roles (Gintis, Bowles, Boyd, & Fehr, 2005 ).

Previous prospective investigations documented strong effects of non-reciprocal exchange in case of the work role on reduced health functioning (Kuper, Singh-Manoux, Siegrist & Marmot, 2002 Stansfeld, Bosma, Hemingway, & Marmot, 1998 ; ). Associations of non-reciprocal exchange in marital roles and in trusting relationships with reduced health functioning and poor self-reported health were reported cross-sectionally but not prospectively (Chandola et al., 2007 Knesebeck & Siegrist, 2003 Knesebeck, Dragano, Moebus, J; ; ö

). Importantly, in two of these studies ( ; ) the observed

ckel, Erbel, & Siegrist, 2009 Chandola et al., 2007 Knesebeck & Siegrist 2003

effect of non-reciprocity on health persisted after adjustment for relevant components of negative social support, thus indicating independent effects of these two constructs.

While experienced or failed reciprocity in social exchange is relevant for emotional well-being and health functioning in all stages of life, its significance may be particularly pronounced in early old age. This is due to the fact that this period is marked by social transition and associated potential socio-emotional vulnerability (Mein, Martikainen, Hemingway, Stansfeld, & Marmot, 2003 ). For instance, with transition from regular employment to retirement, engagement in more proximate types of social exchange usually becomes more prevalent and more important (Rotolo, 2000 ). As it is less likely that continued exposure to non-reciprocal transactions in these more proximate relationships can be compensated by alternative types of rewarding social exchange, negative effects on wellbeing are more likely to occur.

In this study, we were not able to elucidate the pathways between perceived non-reciprocity in social exchange and reduced physical and mental health functioning. Whereas a reporting bias cannot be ruled out, leaving those with experienced non-reciprocity at baseline at higher susceptibility of reporting reduced health functioning two years later, it is probable that psychobiological effects of strong negative emotions resulting from reward frustration to some extent contribute to this explanation. Experimental research demonstrates pronounced stress reactions resulting from unfair social exchange, in particular in case of investments made in anticipation of some equivalence of return (Kiecolt-Glaser, 1997 Kiecolt-Glaser, 2005 Abler, Walter, Erk, 2005 ; ; ).

Although the prospective design and theoretical basis of this study must be considered particular strengths, this study suffers from several limitations. First, we were not able to rule out a reporting bias of non-reciprocity caused by some unobserved personality characteristics, such as neuroticism, negative affectivity or depression. Yet, previous studies testing adverse health-effects of non-reciprocity demonstrated that these effect remain statistically significant after adjusting for negative affectivity (Bosma, Peter,

; ; ) a main possible

Siegrist, & Marmot, 1998 Buddeberg-Fischer, Klaghofer, Stamm, Siegrist, & Buddeberg, 2008 Knesebeck et al. 2009

confounder in this respect (Spector, Zapf, Chen & Frese, 2000 ). Second, the measurement of non-reciprocity was restricted to participants’

appraisal, thus excluding potential external validation and exploration of causation. Further studies are needed to improve the measurement of reciprocal exchange, specifically in less formalized roles, to extent the number of measurement waves and the time frame of analyses. An additional limitation points to the fact that, despite a fairly generalizable population and a comparable low attrition rate of the initial

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social exchange and health functioning

sample (Goldberg et al. 2007 ), important segments of the general population (e.g. non-working women, manual occupations) are underrepresented. Finally, baseline values of SF-36 in 2005 were not collected, and we therefore introduced self-reported health as a proxy measure for respective adjustment in multivariate analysis.

In conclusion, despite the reported limitations, this study supports the notion, that perceived non-reciprocity in three different types of social exchange in early old age is prospectively linked to reduced health functioning, in particular mental health functioning. Conversely, experienced reciprocity in social engagement contributes to emotional well-being and health functioning. By recognizing the importance of balanced exchange between efforts and rewards in cooperative social exchange for health and well being, policy programs can be developed and implemented accordingly.

Ackowledgements:

The Gazel cohort is funded by grants from EDF-GDF (Electricit de France-Gaz de France) in association with INSERM (Institut National deé

la Sant de de la Recherche M dicale). We would like to thank all the staff of the quipe Risques Postprofessionnels Cohortes de l Unité é É – ’ é

mixte 687 INSERM -CNAMTS. Very special thanks to the participants of the GAZEL cohort.

Appendix

Items for measuring perceived reciprocity in social exchange

Principal regular activity in everyday life (Activity)

When I think about my major activity (job, looking after home, voluntary work…), I have always received the recognition I deserve. Marital role relationship (Partner)

I have always been satisfied with the balance between what I have given my partner and what I have received in return. I often had to put the relationship with my partner ahead of my own needs in order to maintain a good relationship. Trusting relationships in civic life (Trust)

I have been seriously disappointed or hurt by someone to whom I gave my trust.

Someone has committed an injustice against me or betrayed me without me being compensated for it.

References:

Abler B , Walter H , Erk S . 2005 ; Neurol correlates of frustration . Neuroreport . 16 : 669 - 672

Editor: Baltes PB , Baltes M . 1990 ; Successful aging: Perspectives from the behavorial-sciences . Cambridge Cambridge University Press ;

Bath PA , Deeg D . 2005 ; Social engagement and health outcomes among older people: introduction to a special section . European Journal of Ageing . 2 : (1 ) 24 - 30 Berkman LF , Glass TA . Editor: Berkman LF , Kawachi I . 2000 ; Social Integration, Social Networks, Social Support, and Health . Social Epidemiology . Oxford University Press ;

Bosma H , Peter R , Siegrist J , Marmot M . 1998 ; Two alternative job stress models and the risk of coronary heart disease . American Journal of Public Health . 88 : (1 ) 68 -74

Buddeberg-Fischer B , Klaghofer R , Stamm M , Siegrist J , Buddeberg C . 2008 ; Work stress and reduced health in young physicians: prospective evidence from Swiss residents . International Archives of Occupational and Environmental Health . 82 : (1 ) 31 - 38

Editor: Caro F , Bass S , Chen Y . 1993 ; Introduction: achieving an aging productive society . Achieving a Productive Aging Society . 3 - 25 London Auburn House ; Chandola T , Marmot M , Siegrist J . 2007 ; Failed reciprocity in close social relationships and health: Findings from the Whitehall II study . Journal of Psychosomatic Research . 63 : (4 ) 403 - 11

Cosmides L , Tooby J . Editor: Barkow JH , Cosmides L , Tooby J . 1992 ; Cognitive adaptation for social exchange . The Adapted Mind: Evolutionary Psychology and the Generation of Culture . 163 - 228 New York Oxford University Press ;

Cumming E , Henry WE . 1961 ; Growing old: The Process of Disengagement . New York Basic Books ; Desrosi res è A , Th venot é T . 2002 ; Les Cat gories Socioprofessionnelles é . Paris La D couverte é ;

Dragano N , He Y , Moebus S , J ckel ö KH , Erbel R , Siegrist J . 2008 ; Two models of job stress and depressive symptoms . Social Psychiatry and Psychiatric Epidemiology . 43 : (1 ) 72 - 78

Ernst JM , Cacioppo JT . 1999 ; Lonely hearts: Psychological perspectives on loneliness . Applied and Preventive Psychology . 8 : (1 ) 1 - 22

Everard KM , Lach HW , Fisher EB , Baum MC . 2000 ; Relations of activity and social support to the functional health of older adults . Journal of Gerontology, Social Sciences . 55 : (B ) 208 - 212

Fehr E , Fischbacher U . 2003 ; The nature of human altruism . Nature . 425 : (6960 ) 785 - 791

Geyer S , Hemstr m ö Ö, Peter R , Vager öD . 2006 ; Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice . Journal of Epidemiology and Community Health . 60 : 804 - 810

Editor: Gintis H , Bowles S , Boyd R , Fehr E . 2005 ; Moral Sentiments and Material Interests . The foundation of Cooperation in Economic Life . Massachusetts The MIT Press ;

Goldberg M , Leclerc A , Bonenfant S , Chastang JF , Schmaus A , Kaniewski N . 2007 ; Cohort profile: the GAZEL Cohort Study . International Journal of Epidemiology . 36 : (1 ) 32 - 39

Goldberg P , Gueguen A , Schmaus A , Nakache JP , Goldberg M . 2001 ; Longitudinal study of associations between perceived health status and self reported diseases in the French Gazel cohort . Journal of Epidemiology and Community Health . 55 : (4 ) 233 - 238

(7)

Havighurst RJ , Neugarten BL , Tobin SS . Editor: Neugarten BL . 1968 ; Disengagement and patterns of aging . Middle Age and Aging . 161 - 172 Chicago and London The University of Chicago Press ;

Judge TA , Erez A , Thoresen CJ . 2000 ; Why negative affectivity (and self-deception) should be included in job stress research: Bathing the baby with the bath water . Journal of Organizational Behavior . 21 : (1 ) 101 - 11

Knesebeck Ovd , Siegrist J . 2003 ; Reported nonreciprocity of social exchange and depressive symptoms. Extending the model of effort-reward imbalance beyond work . Journal of Psychosomatic Research . 55 : (3 ) 209 - 214

Knesebeck Ovd , Dragano N , Moebus S , J ckel ö K-H , Erbel R , Siegrist J . 2009 ; Psychosoziale Belastungen in sozialen Beziehungen und gesundheitliche Einschr nkungen ä . Psychotherapie, Psychosomatik, Medizinische Psychologie . 59 : 186 - 193

Kuper H , Singh-Manoux A , Siegrist J , Marmot M . 2002 ; When reciprocity fails: effort-reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study . Occupational and Environmental Medicine . 59 : (11 ) 777 - 784

Kuper H , Singh-Manoux A , Siegrist J , Marmot M . 2002 ; When reciprocity fails: effort-reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study . Occupational and Environmental Medicine . 59 : (11 ) 777 - 784

Kiecolt-Glaser JK , Glaser R , Cacioppo JT , MacCallum RC , Snydersmith M , Kim C . 1997 ; Marital conflicts in older adults: endocrinological and immunological correlates . Psychosomedic Medicine . 59 : 339 - 349

Kiecolt-Glaser JK , Loving TJ , Stowell JR , Malarkey WB , Lemeshow S , Dickinson SL . 2005 ; Hostile marital interactions, proinflammatory cytokine production, and wound healing . Archive of General Psychiatry . 62 : 1377 - 1384

Le Pl ge è A , Ecosse E , Pouchot J , Coste J , Perneger T . 2001 ; Le questionnaire MOS SF-36 Manuel de l utilisateur et guide d interpr tation des scores – ’ ’ é . Paris Edition ESTEEM ;

Lee S , Colditz GA , Berkman LF , Kawachi I . 2003 ; Caregiving and rish of coronary heat disease in U.S. women: A prospective study . American Journal of Preventive Medicine . 24 : 113 - 119

McEwen BS . 2007 ; Physiology and neurobiology of stress and adaptation: Central role of the brain . Physiological Reviews . 87 : (3 ) 873 - 904

Mein G , Martikainen P , Hemingway H , Stansfeld S , Marmot M . 2003 ; Is retirement good or bad for mental and physical health functioning? Whitehall II longitudinal study of civil servants . Journal of Epidemiology and Community Health . 57 : 46 - 49

Mendes de Leon CF . 2005 ; Social engagement and successful aging . European Journal of Ageing . 2 : (1 ) 64 - 66

Musick MA , Herzog AR , House JS . 1999 ; Volunteering and mortality among older adults: findings from a national sample . Journal of Gerontology: Psychological Sciences . 58 : 173 - 180

Rotolo T . 2000 ; A time to join, a time to quit: the influence of life cycle transitions on voluntary association membership . Social Forces . 78 : 1133 - 1161

Schultz W . 2004 ; Neural coding of basic reward terms of animal learning theory, game theory, microeconomics and behavioural ecology . Current Opinion in Neurobiology . 14 : (2 ) 139 - 147

Siegrist J . 1996 ; Adverse health effect of high effort low reward conditions at work – . Journal of Occupational Health Psychology . 1 : 27 - 43 Siegrist J . 2005 ; Social reciprocity and health: new scientific evidence and policy implications . Psychoneuroendocrinology . 30 : (10 ) 1033 - 1038

Siegrist J , Knesebeck Ovd , Pollack CE . 2004 ; Social productivity and well-being of older people: A sociological exploration . Social Theory & Health . 2 : 1 - 17 Singer T , Kiebel SJ , Winston JS , Dolan RJ , Frith CD . 2004 ; Brain Responses to the Acquired Moral Status of Faces . Neuron . 41 : (4 ) 653 - 662

Spector P , Zapf D , Chen P , Frese M . 2000 ; Why negative affectivity should not be controlled in job stress research: don t throw the baby out with the bath water ’ . Journal of Organizational Behavior . 72 : 79 - 95

Stansfeld SA , Bosma H , Hemingway H , Marmot MG . 1998 ; Psychosocial work characteristics and social support as predictors of SF-36 health functioning: the Whitehall II study . Psychosomatic Medicine . 60 : (3 ) 247 - 255

Van Vegchel N , De Jonge J , Bosma H , Schaufeli W . 2005 ; Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies . Social Science & Medicine . 60 : 1117 - 1131

Van Willigen M . 2000 ; Differential benefits of volunteering across the life course . Journal of Gerontology: Psychological Sciences . 55 : 308 - 318

Wahrendorf M , Knesebeck Ovd , Siegrist J . 2006 ; Social productivity and well-being of older people: Baseline results from the SHARE study . European Journal of Ageing . 3 : (2 ) 67 - 73

Ware J , Sherbourne CD . 1992 ; The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection . Medical Care . 30 : (6 ) 473 - 483 Yee JL , Schulz R . 2000 ; Gender differences in psychiatric morbidity among family caregivers: A review and analysis . The Gerontologist . 40 : 147 - 164

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social exchange and health functioning

Table 1

Description of measures and sample (N max 11421)=

Variable (Year of measurement) Categories or range % or mean N

Gender (2005) Male 76.0 8679

Female 24.0 2742

Age (2005) 52 66 years– 60.4 11421

Educational level (1989) University 21.1 2410

Vocational training 52.7 6022

Upper secondary education 7.4 846

Lower Secondary education 18.8 2143

Household income classes (2002) < 1601 € 6.3 715

1601 1981 – € 18.4 2104 1982 2591 – € 14.3 1634 2592 3810 – € 38.1 4357 3811 4573 – € 9.6 1095 > 4574 = € 13.3 1516 Household size (2002) 1 15– 2.3 11421

Occupational category (2002) Senior executive 33.7 3854

Middle executive 55.1 6292 Employee 5.8 657 Worker 5.4 616 Retired No 18.6 2127 yes 81.4 9288 Non-Reciprocity: Activity (2005) No 68.8 6915 yes 31.2 3139 Non-Reciprocity: Trust (2005) No 73.2 4487 Yes 26.8 1643 Non-Reciprocity: Partner (2005) No 81.5 7865 Yes 18.5 1790 SF-36 MCS (2007) 6.1 71.3– 48.4 10189 SF-36 PCS (2007) 13.6 69.0– 50.0 10189

Self-reported health (2005) Good (1 4)– 66.4 7589

Poor (5 8)– 33.6 3832

Self-reported health (2007) Good (1 4)– 65.4 7007

(9)

Table 2

Intercorrelations between main variables

1 2 3 4 5 6 7 8 9 10 11 12

1. Non reciprocity Activity 2. Non reciprocity Trust

0.23*** 3. Non reciprocity Partner

0.17*** 0.20***

4. SF-36 MCS

0.17*** −0.19*** −0.21***

5. SF-36 PCS

0.08*** −0.10*** −0.04*** 0.06*** 6. Poor self-perceived health 2005

0.13*** 0.12*** 0.11*** −0.30*** −0.34*** 7. Poor self-perceived health 2007

0.11*** 0.11*** 0.11*** −0.38*** −0.42*** 0.54*** 8. Gender a −0.09*** −0.09*** −0.19*** 0.18*** 0.04*** −0.06*** −0.04*** 9. Age −0.09*** 0.01 −0.06*** 0.07*** −0.10*** 0.02*** 0.05*** 0.33*** 10. Education b −0.05*** −0.07*** −0.00 0.04*** 0.07*** −0.07*** −0.08*** 0.07*** −0.06*** 11. Income c −0.10*** −0.13*** −0.05*** 0.06*** 0.12*** −0.13*** −0.13*** −0.03*** −0.08*** 0.40*** 12. Occupational category d 0.10*** 0.09*** 0.03*** −0.07*** −0.09*** 0.10*** 0.11*** −0.15*** −0.07*** −0.40*** −0.43*** a 0 female, 1 male= =

b 1 University, 2 Vocational training, 3 Upper secondary education, 4 Lower secondary education= = = = c 1 < 1601 , 2 1601 1981 , 3 1982 2591 , 4 2592 3810 , 5 3811 4573 , 6 > 4574 = = = = = = = d 1 Senior executive, 2 Middle executive, 3 Employee, 4 Worker= = = =

* p < 0.05; ** p < 0.01; *** p < 0.001 Table 3

Associations of non-reciprocity in social exchange and health functioning: Results of linear and logistic regression models (estimates and standard errors)

Model 1 Model 2 N SF-36 MCS a All Non-reciprocity: Activity 3.19*** (0.21) 2.57*** (0.21) 9042 Non-reciprocity: Trust −3.80*** (0.29) −3.22*** (0.28) 5503 Non-reciprocity: Partner 4.62*** (0.26) −3.97*** (0.25) 8690 Men Non-reciprocity: Activity −2.79*** (0.23) −2.21*** (0.23) 6929 Non-reciprocity: Trust 3.15*** (0.32) −2.65*** (0.31) 4310 Non-reciprocity: Partner 4.68*** (0.30) 4.06*** (0.29) 6748

(10)

social exchange and health functioning Women Non-reciprocity: Activity 4.31*** (0.49) −3.51*** (0.47) 2113 Non-reciprocity: Trust −5.77*** (0.67) −4.91*** (0.65) 1193 Non-reciprocity: Partner 4.46*** (0.53) −3.73*** (0.52) 1942 SF-36 PCS a All Non-reciprocity: Activity 1.06*** (0.16) −0.51*** (0.15) 9042 Non-reciprocity: Trust 1.28*** (0.22) 0.82*** (0.21) 5503 Non-reciprocity: Partner −0.53** (0.20) 0.04 (0.19) 8690 Men Non-reciprocity: Activity 1.15*** (0.18) −0.63*** (0.17) 6929 Non-reciprocity: Trust −1.16*** (0.24) −0.76*** (0.23) 4310 Non-reciprocity: Partner −0.26 (0.23) 0.30 (0.22) 6748 Women Non-reciprocity: Activity 0.80* (0.36) −0.15 (0.35) 2113 Non-reciprocity: Trust 1.63** (0.50) −0.97* (0.48) 1193 Non-reciprocity: Partner 0.99* (0.39) −0.40 (0.37) 1942

Poor self-perceived health b

All Non-reciprocity: Activity 1.58*** (0.07) 1.31*** (0.07) 9455 Non-reciprocity: Trust 1.49*** (0.09) 1.25** (0.09) 5742 Non-reciprocity: Partner 1.72*** (0.10) 1.46*** (0.10) 9087 Men Non-reciprocity: Activity 1.55*** (0.09) 1.29*** (0.08) 7240 Non-reciprocity: Trust 1.48*** (0.11) 1.26** (0.11) 4487 Non-reciprocity: Partner 1.60*** (0.11) 1.31** (0.11) 7048 Women Non-reciprocity: Activity 1.66*** (0.15) 1.37** (0.15) 2215 Non-reciprocity: Trust 1.52*** (0.19) 1.21 (0.19) 1255 Non-reciprocity: Partner 1.99*** (0.20) 1.81*** (0.22) 2039

Model 1: adjusted for age, socio-economic position and gender (for the total sample only) Model 2: M1 baseline self-perceived health+

a : unstand. regression coefficients b

(11)

b : odds ratios * p < 0.05; ** p < 0.01; *** p < 0.001

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